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Individual

DR. GEORGE NEWTON DESHAZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
708 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 873-1958
(757) 873-2143
Mailing address
708 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 873-1958
(757) 873-2143

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701001314
VA
106H00000X
Marriage & Family Therapist
Primary
0717000318
VA

Other

Enumeration date
07/14/2008
Last updated
07/14/2008
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